Name *
Name
Address *
Address
Phone *
Phone
Puppy Wish List
Color Preference (check all that apply) *
Please check all size dogs that are acceptable *
Your Commitment
I understand and accept the process for placement and adoption as well as the health guarantee of a SHAL. I understand the long term investment of time and money required to raise a puppy. I understand the SHAL reserves the right to decline an application based on our assessment of the prospective home. *